| Treatment of variceal bleeding. | |
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MedLine Citation:
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PMID: 11689366 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Variceal bleeding is the most common cause of severe gastro-intestinal bleeding in childhood. Biliary atresia and portal venous obstruction are the most common causes. Each center should have a defined management protocol reflecting local practice and expertise. For patients with acute bleeding, pharmacotherapy with octreotide should be used immediately. All of these patients should undergo therapeutic endoscopy with band ligation or sclerotherapy. All children surviving variceal hemorrhage should undergo secondary prophylaxis with band ligation. No evidence supports the routine use of primary prophylaxis in children with esophageal varices. |
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Authors:
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P J McKiernan |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Gastrointestinal endoscopy clinics of North America Volume: 11 ISSN: 1052-5157 ISO Abbreviation: Gastrointest. Endosc. Clin. N. Am. Publication Date: 2001 Oct |
Date Detail:
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Created Date: 2001-11-05 Completed Date: 2002-01-30 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9202792 Medline TA: Gastrointest Endosc Clin N Am Country: United States |
Other Details:
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Languages: eng Pagination: 789-812, viii Citation Subset: IM |
Affiliation:
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Liver Unit, Children's Hospital NHS Trust, Birmingham, United Kingdom. Pat.Mckiernan@bhamchildrens.wmids.nhs.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Combined Modality Therapy Emergency Treatment / methods Esophageal and Gastric Varices / diagnosis*, therapy* Esophagoscopy / methods* Female Gastrointestinal Hemorrhage / diagnosis*, therapy* Gastroscopy / methods* Humans Hypertension, Portal / diagnosis Infant Male Prognosis Sensitivity and Specificity Severity of Illness Index Vasoconstrictor Agents / administration & dosage* |
| Chemical | |
Reg. No./Substance:
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0/Vasoconstrictor Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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